go back

New Hampshire rates for HCPCS A5114

Leg strap; foam or fabric, replacement only, per set

Facilitymedian $6 · 10th–90th $6$70%20%40%90th$6Professionalmedian $8 · 10th–90th $5$140%20%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$6.03
Typical High
$14.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.59
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$7.76
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$17.38
United
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.17
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$6.46
Typical High
$9.33
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$14.13